You are on page 1of 1

(NAME OF SCHOOL)

PAYROLL

Name of Project:
Total amount of labor per POW: Payroll No:
Number of Laborers per POW:
Number of days per POW:

We acknowledge receipt of cash shown opposite our name as full compensation for services rendered for the period covered.

DATES OF LABOR WORKS (DAILY)

Total Amount Signature of Recipient Date Received


Classification of Laborer
No. Name Daily Rate CTC Serial No.
Day 1 Day 2 Day 3 Day 4 Day 5 Day 6
94

A CERTIFIED: Services duly rendered as stated. C APPROVED FOR PAYMENT: _________________________________________________________________


_____________________________________________________________________(P )

______________________________
Signature over Printed Name of Authorized Official Date (Signature over Printed Name)
School Head
Date
B CERTIFIED: Supporting documents complete and proper; and cash available in the amount of D CERTIFIED: Each employee E
P______________________. whose name appears on the
payroll has been paid the amount ORS/BURS No. : __
as indicated opposite his/her Date : __________
name
(Disbursing Officer) JEV No. : ________
Date Date : ____________________
((Signature over Printed Name)

You might also like